Lakisha Kumedzro, CEO

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

5571 Old Philadelphia Pike
Gap, PA 17527-9227

Phone

(717) 429-6834

NPI assigned

Jul 15, 2021

Last updated

Jul 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1427620764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5571 OLD PHILADELPHIA PIKE",
            "city": "GAP",
            "state": "PA",
            "postal_code": "175279227",
            "telephone_number": "717-429-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5571 OLD PHILADELPHIA PIKE",
            "city": "GAP",
            "state": "PA",
            "postal_code": "175279227",
            "telephone_number": "717-429-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMEDZRO",
        "first_name": "LAKISHA",
        "credential": "CEO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenford Kauffman, M.S.
• Karen L Keegan, PT, MDT
• Gina Louise Kielbasa, LPN
• Randy L Kochel, MD
• Carla Kouterick
• Lancaster General Medical Group (Penn Medicine LGHP Family Medicine County Line)
• Allison Lapp, DC
• Robert N Mackey, P.T.
• Jennifer Ann Markward
• John A McCarthy, LAC

• Home Health Aide in Gap, PA
• Providers in Gap, PA by specialty
• Home Health Aide in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.